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Home My WebLink AboutO.C. CONSERVATION CORPS 4Ae 20 (3 AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Sr. Deputy Clerk of the Council (M 30). Call 647-5238 if you have any questions. ----------------------------------------------------------------- The agreement with ® C- cc) AsEl-wCAfIOJ : 42 was completed on Department: Signature: Date: and final Davment has been made. City of Santa Ana Revised 8-7-03 Clerk of the Council INSURANCE ON FILE A-2004-062 WORK MAY PROCEED UNTIL INSURANCE EXPIRES 7--A0-07 CLERK OF COUNCIL DATE: CF - aL -pq FIRST AMENDMENT TO AGREEMENT C'. CM LK.rh�'�J THIS FIRST AMENDMENT TO AGREEMENT is entered into on April 5, 2004, by and between Orange County Conservation Corps ("Consultant") and the City of Santa Ana ("City"). Recitals: A. The parties entered into Agreement A-2003-163, dated July 21, 2003, (hereinafter "said Agreement") by which Consultant has provided vocational/occupational training, employment strategies, education and supportive services to individuals residing in the Federal Empowerment Zone. B. In accordance with the terms and conditions of said Agreement, the parties wish to increase the compensation available to Consultant for additional marketing and outreach efforts provided by Consultant. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: Section 2.a., COMPENSATION, shall be amended to increase the compensation by $50.00, for a total amount not to exceed $99,915.00 during the term of said Agreement. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: ATRICIA E. HEALY a Clerk of the Council APPROVED AS TO FORM: 4 ea��k OSEPH W.FLETCHE City Attorney CITY OF SANTA ANA DAVID N. REAM City Manager CONSULTANT RICHARD J. S UP Executive Director AN, CERTIFICA i t w�E 0811212003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY NOTHE CE Andreini & Company HOLDER.NTHISONFERS IGHTS CERTIFICATE RDOES NOTOAMEND, EXTENDCATE OR 300 Esplanade, Suits 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oxnard, CA 93030 COMPANIES AFFORDING COVERAGE (805) 981-9585 F: (805) 981-Olbl COMPANY A PHILADELPHIA INDEMNITY INS CO INSURED COMPANY ORANGE COUNTY CONSERVATION IS 5WAT ., WjKRZNSATMQNINS FUND CoOmpmY 14s6�j t�y .'rA fir O : �F'!9� . F? i ".''i'^* CORPS PAX NO. 1 (714)-9156-1944 700 N. VALLEY STREET, STE. AS ANAHE IM CA 92801 COMPANY ti %2 'is rr. ca tact yj i r YS 4f P t a R SS � P �' a'0'f fi5� Ir` �Sxt�.E,��iR�xwu� aH�tzfi ,iw.-..Jwf:l3 A' �. ��if'•v4...,�fx 'PHIS IS TO CERTIFY THAT THE POUCtM OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAY'F, THE INSURANCE AFFORDED BY THE PDyGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT)ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. LM TEN: OF HEURANSE POUCY NUA1BL71 DATLPOLICYEFFECTM { DD/M DATEY VAATIDIW) A>Rr7 A MINIMAL LABLITY PHPKDWU7 07/20/03 07/20/04 GENERAL AOOREOATE 1162.01)0.00 PRODUCTS - COMPAIP AGO f COIAMD11CIAL GENERAL LU9LRY CLANG MADE ®OGGLN PiASCIR& f ADV INJURY f QO.ODD EACH OCCUFPB40E $ OAUMS a OONTRAcroRs PROT FNIF DAMAGE W* hA) f 1pooM MED EP w pwWG i son A AUTOMOBILL LUENIry Rif AUTO PHPKDws7 0 7/ 2 0/ 0 3 07/20/04 COMEINED IUIOLS LIMIT 4i,000,00D0 BODILY INJURY CPs, Polm) f AM OVA&D Autos SCHEDVLFA AUTOS � Accw"Q f NI ON-WHAUTOS NON-0EO AUTOS ii,ii6 L 1 1 i-QJ:73Ti PROPERTY DAMAGE f OAFIAGE LWRLLON AN. Auto PUty City Attorney AM ONLY - EA ACCIDENT f D,Fm THAN AUTO 0N0 EACH ACCIpFHT f ASOJEGA7E S cxcEnUAEurr PHUH021098 07/20/03 07/20/04 EAcH0222RRENca< s A IIwwQ A FORM AOGFCGATE $1-6m pea RETATMErl T,Mll f 10 DI NO THAN VMGRELM FOW.I WOWURD COLPERBATION AND ENPLOYERf LYBUN THE PROMIETCRI I ICL PART14OM :7 OUTr E 46-0120SE 03 06/01/03 06/01/04 EL EACH ACCIDENT 4 EL DISEASE - POLICY WAIT 4 EL OISFASE- FA EUF%0%; "1 ow No OFFICEFS AFIQ DLCL 0-mm A ATrTO PHYSICAL PHPKWMG? 07/20/03 07/20/04 DEDUCTIBLE T,o00 coma DAMAGE DEDUCTIBLE 1,000 COLL DESCRIPTION OF OPERAT10KS6WCATIONrMXLtMIIP CW, RUNE RE, GENERAL LIABILITY COVERAGE -THE CERT HOLDER ITS OFFICERS, EMPLOYEES AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO THE OPERATIONS OP THE NAMED INSUR9D. ADDITIONAL INSURED ENDORSEMENT,ATTCHED.*30 DAY NOTICE OF CANCEL FOR NON -PAY SHALL APPLY. Am;S;...S.,.:- .. ., @n g>T ..f.....♦,. FA.0 a i:$s CITY OF SANTA ANA ATTN 1 ESTHER AKHAVAN/HARK PLANNING 888 'K. SANTA ANA BLVD., STE 200 SANTA ANA CA 92701 SNODLO ANY OF Tilt AOOVI DEEORNED POMMS Rt CANCia LED 1900RE THL EXPIRATIOM DATE THTRtgF, Tnt IsaUM COAPAHT WILLM PM%"XTOXMAIL '3 DAYS WNREN NOTICE TO TIT! CPAT"ATC MOLDPII NAum TD THE LM,, XK=)txw" xwXILJCNwxmex�FlxJl NAaLaxKJwoPaxx X4*XMx XlNifrxkxdlx�a Xaaxcale x AUTHOR EfENTATIY! e _ y[�� }gry •. .i' `"�i� 5 3Si' iAYI. I a�'. AN.V� r ..... � . ': .... �ST' IP t > f� -.. �'"3 Flan) ..: { i Q`. •. "ft 6' `.y. .. .�. ... x,,... , : ��, ..rah_ x�iN ?;zsxt. ia" ♦� .,._..,,''.. �471�Iit,�9hbte`F;♦ >tn9uranoe Company TWa eadorseratm modifos snoh insurance as is afforded by the provision of Policy relating to the fbllovnng: 3. The City of Santa Arta, 20 Civic Canter Pl•ra, Sant& Ana, Califoxrtla 92701; its ofricrrS, eMployees, seen% volunteers and iepresentatiw¢s tiat uArted as eddlitioxul in4uttd4 ("additional inauretls`) with regard to liability and defense of suits arising from the operations AM uses performed by or on behalf of the owned insured. 2. With respect to claims arising out of tha operations anal uses performed by or m behalf of'the named ittsurad, such insurance as is afforded by this policy is primary and is not additional to or contributing with aay other insurance cuxied by orfor tho benofit of the additionalinsurcds. Uttl,eas th6 OUY is gfioasly ntagligent. 3. This insurance applies separately to each insured against whom otaim is made or suit it brought except with xespsct to the cempany's 1"tmits of liability. The inclusion of any person or orgmizzdDa as in lnsurcd shall not affect any right xvhleh suoh persort or orgWridoA would ltavv as A oi.imtiit Itnol so inOlUftd. 4. With respect io the additiOMI l ttureds, this insurance Shall not be cancalled, or mtttrially:educed in cuveraga or limits except after thirty (30) days written notion has bom given to the City of 3azrta Ana,10 Civic Canter Plata, Sx IU Aria, CoLiforaia 92701, tCompledOn of Ate ,following, including countersignature, is required tq nl4* Ibis endvracment e0'ective ) Mcctive ..2.1 " - 11�v mdors mcnt form as a part of Policy# Issued to ame u Cou7mersigned by L.MA"La Authorized Repr entativ8u'— — 'p D A TO FOAM ZIIEEN i SHAW Deputy City Attorney Xn ,, I1 POLICY NUMBER:PHPK055497 COMMERCIAL GENERAL UABIUTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UAZ31LITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF SANTA ANA ATTN: ESTHER AKHAVAN/PARK PLANNING 888 W. SANTA ANA BLVD., STE 200 SANTA ANA, CA 92701 (If no entry appears above, information required to complete this endorsement will be Shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) Is amended to irtolude as an insured the person or organization shown in the Schedule as an Insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 2S 11 85 Copyright, Insurance Services Office, Inc., 19a4 tA ANDREINI & COMPANY Insurance! Risk Management/ Employce Benefits ACORD FORM 25-S - CONTINUED... IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITY OF SANTA ANA SHALL APPLY IN EXCESS OF, AND NOT CONTRIBUTE WITH, INSURANCE PROVIDED BY THIS POLICY EXCEPT IN THE CASE OF SOLE NEGLIGENCE OR WILLFUL MISCONDUCT BY THE CITY OF SANTA ANA. "lTO' FC•�iMSTME EE SHAW uty Clty Attorney 300 Esplanade, Suite IOO, Oxmrd, CA 93030 License 0208825 80"01.9565 FAX W519811-0161